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全身麻醉下静脉曲张手术后突发感音神经性听力损失。病例报告。

Sudden sensorineural hearing loss after varicose vein surgery under general anesthesia. Case report.

作者信息

Galanopoulos G, Rapti D, Nikolopoulos I, Lambidis C

机构信息

Department of Vascular Surgery, Iaso General Hospital of Athens, Greece.

出版信息

G Chir. 2011 Aug-Sep;32(8-9):385-7.

Abstract

Sudden sensorineural hearing loss following non-otologic surgery, under general anesthesia, is an extremely rare complication. Furthermore, postoperative deafness has more commonly been associated with cardiac surgery. This acute dysfunction of the inner ear consists a controversial subject in terms of etiopathogenic mechanisms and treatment modalities. We present the case of a 60-year-old male patient who underwent varicose vein surgery under general anesthesia and presented immediately after the operation bilateral and profound impairment of his hearing acuity. A high index of suspicion is required to early diagnosis of this complication, although prompt treatment does not guarantee a good outcome.

摘要

在全身麻醉下进行非耳科手术后发生的突发性感音神经性听力损失是一种极其罕见的并发症。此外,术后耳聋更常见于心脏手术。就发病机制和治疗方式而言,这种内耳急性功能障碍是一个有争议的话题。我们报告一例60岁男性患者,他在全身麻醉下接受了静脉曲张手术,术后立即出现双侧严重听力减退。尽管及时治疗不能保证良好的结果,但对于这种并发症的早期诊断需要高度的怀疑指数。

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